' BEFORE THE

MEDICAL BOARD OF CALIFORNIA DEPARTMENT OF CONSUMER AFFAIRS

STATE OF CALIFORNIA

In the Matter of the Accusation ) Against: . )

) )

JOSEPH TERENCE DALY, M.D. ) Case No. 8002016021193

Physician's and Surgeon's Certificate No. G26296

Respondent

) ) ) ) )

DECISION

The attached Stipulated Settlement and Disciplinary Order is hereby · adopted as the Decision and Order of the Medical Board of California, Department of Consumer Af(airs, State of California.

This Decision shall become effective at 5:00 p.m. on September 7, 2018.

IT IS SO ORDERED August 8, 2018.

MEDICAL BOARD OF CALIFORNIA

~Mi)J~, .. ...MJ.~-By: ~ ~

Ronald H. CewiS::: Chair, Panel A

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XAVIER.BECERRA A.ttorn¢y'Oenerai·9rcfiiifQ'fr1i.a ALEXANDRA M; A'LVAREZ' ... silp~r.visi~g p¢ptttyAttofileyGenerat ROSEMARY'E\ LUZON . [)eputy·:Attorney: (}erj~tal State. Bar No.:221544. ·... , , ,_ ,

600 West Bro~d~:vay,.;Suite: 1800 :San Diego, c;:A:921 O'I .Ro •. ndx:ss:266: $.an biegQ, G~-,2fJ;8~~$2()6 'Telepho11e: {~J9).73_8.;Q,0.7~

. FacsimHer .~9J9),.64S,.206l

Ar1or11eysforComplafoanl

. In the Matter oftne.Acclls?fion _Against:

JOSEPfl"TElffil'JCE'DACV; M.J),· 9834 GeneseeAvenuc;:Suite 31s · Ltr Jolla, ~k 92037... ·. · ··· -- ·

:Phy~i¢~aii '~.~nil Suf:g~on 's Certificate No. G. 26_296'·

C~se:Nq/8o:0-20l(l"Q.~{1.?.3'

bAHNo•2iYJ:&:Ql:Q5.:t&

s'ti?,PLA't~It.S~#:i.tl\infi~;tANV, DISCIPLINARY.:ORDER"

Respondent.

It JS B'~R.µBY: STIPULATED ,ANQAOREED' by ,and .betwi!~titM.pa'(t~es'~k> ,th~,;aboV~~

entliJed prqcecctiitg~ 'diaHhe'.fqJfowirig m~tters ifre true: PAR'fIES

1. Ki1nherI:Y Kitchmeyef'(Complaitiant) is the·Executlve birectorofihe:$.ie'dfoafBoard , ' - ' . - . . , s

ofCalifoi:nia '.(8<;iifrd) •. She .broughtthis actioh.solely iither offidal <i'.\pacity,:and i's;,r~ptesented i'n · ,, ' ' ' ' ,' ,·,,' ' ' ' ' ,, ,. ,· ·' ' '

thiirmatter by'XaVier·Bece1•ra., .Attorney Generai· ofthe':siate t)f:c~titqmi~; o~:llhseniarrF .. ·

Luzon'; Deputy Attorney Oener:~-1.

1·,. ·Respo11dentJo~ep,h terenceP~ly,.M.D. (Respof1d¢fit) iS r~·pr¢$_epte(i.ri'Jtii~

proceeding by ~tt0,mey 'R9bert: W .. Ft;ink1 E;sq., \,vho~~: addr~~~Jsi ·NeiJiDymotti: Fraftk; M.cFalL& , ,

Tl:e~ler, IJO'Wes(A, Street, S Li ite 1200~ ~~n Qiego,:CA"92lOL

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1 . 3. Qn9r abput.January 1 l~J974, t!1e Board iss_ued Physiciai_1's ~n,a:surgeOn'sCert~ficate

2 No; G 29296 to ~espolideilt, The'J>.hy~iciaJ1's iind. Stirg~o11'. s qertificat~. \vas· irrfi:ill fore~ ~n(:l

•3 effect .at all times relevant fo)he 'charge$ brought in Accusati9n·No .• 800-20.l 6~02ll 93;"arid \vlll

4'. expire ori August 31, '2018; imless. i"erie\ved;.

5 JuRISDICTYON

.6 4 . On.DecemberJ9,2017,·Accusatfon No. 800;20J·6~6'2JL93 .wasTiled..before·the

7 Board,.and isci1rrently pending against ReS,ponde.1\t. Atr.ueai1d correcfcopy ofthe·.Accusatfon

8 and ail .other statutorily required documents were properly .served on Responcl¢nt ~nDec,:em'ber

9 19, .. 2017,.at, his address o.f'reco.rcL Resppndent tih1ely fi.led his NotiGe,Pf Pefen!>~ contesting t~~

m AqcusatiQn. A .true. and _correct copy of A(;cusat.fon _N,o. SPQ0-'20 16·0~ I l,~3 is attached as Sxllibit

l l A and incorporated .h~rein_ by reference as. iffu)ly set forth herei,n.

12 ADVISEMENT AND \VAIVERS

IJ 5. .Resp9rident l1as: c!lt¢folly read, ;folb'.t!isqussed w,ith cqunsel;; and tm'd~rsfahds the

14 charges a11d allegatfons·fo Accusatfon No.:800-2016.:our.93; Respondent has afso:carefhll)'. read;

1 s fullydiScu~sed.\vith.couhsel, ruid understands the effects:of'tl~is Stipulated Settlement .and ..

16 OiSCiplinary Order.

17 6. Respondent is fully aware of his legal right~in this matter,includingt!:texight ~o a

18 hearing on the cha~ges and allegations in. the Ac<;:usation;Jhe right to C~lJ1frQnt a11d crQss•exiun-ine

· 19 the· witnesses agaiiist him;·th~ l'ightto.presenteyidence-and to testify on his_o~r1 behalf; th~. right

20 to the issuance of subpoenas to compel the ati,e11dan~e of \Viflicss~s and t,h~ iJr()ductfon of

2T 'documevts; therighttorcconsideratio(I an_d coiu't revieW of~n ·.advctsc~ecision;;:an'C! all other

22 rights accorded by theCalifor!iia. Administr~tiy~·Procedure Act and other.applicable la\vs, havin~:

23 .beeri fully advised of saine by his attorney ofi:ccord, Robert W~ Frank, Esq.

24 7. I-faving the'b{!riefit of counsel; Resporidenrvoluritarily; knowingly, and intelligently

25 waives 'and gives up each and ·ever~ ,right set forth abo.ve.

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1 CULPABILITY,

2 8; RespQ'n,ae1itdq¢~ n()f:c9fitC§t .tliitt~:a~·an. a.'~liiibi,sttatij1~-~¢~firjg1 P!?ffiP!~ifiat\( C.c@~­

s· · ¢Staqli$h ~p1jiil1i,lfcitfe·~case:~,ith respect 't() '~he·~~at'ges·an~ aJtegtiti()J:is co11t~iinc;:d in Acchsati~n : . . . . . ... ,. · ....... ' . -· .. :· .... ·· .. -·

4 No. soo.;2016-021193. a-~opy'O,f~h'k:h Is attached hereto'as ExfiibfrA~ and thathe-ha's'thereby:: .. .-. .. . '

~ subj~cted His Physidan ~ s · and'S1.frgeon's certitic'ate No'. G26296to'dl'stiplirtary action. '

() 9: Resp6ndenvagrees· thatJf lte,ev,er petiiions:threarl)(term'ir1atioi1:or modification"of

7 this.Stipulated·· Settlement and'D'isciplinaryOrder,-·or·-if'an accusatiO'n•and/or:petition~t(>:revoke

8 probation is fll~d agaittsthinrbeforethe MedicafBoarcf:o~C~If{omh1; aHofth~cchargesand . . ',,·~

9 allegatfons·contained·in·-Accu.sation No; S00-'2Qt._(!.;Q21 l93;shafl.fa~·deemed·0

tn,1e;,correc.(~n~HfulfY,

lo a,dmHted.-by R,esp~mdenffQJ' nurpose~ qfth~tpropeeding~()r ·.any P,ther llPeQsing:prp~eed,iµg,

l I fnvotvibgJ{esppn~e,1\j i_h th~ S,ta\e. 9f¢~li(onH~.

l'i l.Q. R~spofid¢6t M.fe¢~JhafhJsJ~li~~ic.ia~'§\~nd :~µrge~n~s, C¢r~ifipafo N9: 9 '2629§ is

L~ suojec(to.dj~cipline aridJie ~gr~e·s Jo ,be bo'tilld 'b)i:the B(,)tfrq'~:if!if:>osific>.rrof ~iscipli~¢ 9s s~t{ottfl:

l 4 i11.1-he::JJiscipH1)~tY Qr~erf:>C)oW.:

fa CONTINGENCY

16 11 ; This. S~lpu lated Settlement ancfDis2iplih'ary brder Shaff be~ si1o}ect:to appro:vaLby the

17 Board. The parties.·a~ree thatthis Stipulated Settlement and Disci~linary di:d.er ·shall he

J~ s1ibirtitte&to .fue ;8oard for· its consideration in theabo:ve;.entltled matter:and,fm1ber,;·tll~ril1e'

19. Board shail have·a re·asonabie:pedodpf,tim~·,fo··whrcfotQ'·consider:.an(actPn:this;stip,µl~l~d,

2q s·eutementand.'bisciplinar~ 0,riierafieri:ec~lvfog it._ $y,si~ning ,this ~tip1.,1 l@9!i.; R¢~P.P!l~9,t1ffli11y

2 I und'erstan"Cis.and agree$~ tha( t}:q: meyy n_ot withd_r?,w ·h_iS, ~gre¢1:l)ent or s~~l{t(?' f~S,qin'<i t.h iS:~tip(iJaJiori :

22 prlor-to the-tim(! the Bol!rd considers.and:acts 1.1pori i{.:

23 12. The P.atti_es agte¢ t_ttatth,i_s:S(ipulated · Settlem¢n1:at'1c,l Dlscipliiiary~brder·sh~ll b~-null

24 and yo id .and, 11otbiridihg u'pori the· parties· unless approv~d and ad~pted· hY; the BoarH, 'e~cepr(Cir

25 this paragraph, whidh .·sfiall remain in ful i force. and efte¢t. Respondent flfUy m1derst~n~s a11cf

i6 agrees that in decidl11gWhether or not to approve and a<lopf thfs s~)pulated ~~ttJ~!TI.enra.qd: ·

(.7 Disdplinaty Order, the Board'mar recelve~oral and wdhe1) co111muriiC,atjonffrp1J1Jts~r~Wan(j,lor.

28 the Attorn-ey beneral;.s"Oftice,, Communic;~tipns purs\1an~ fo tttis p~r11gr~plt shall nbf:disquaHf:x.

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the.BoarP .•. a11y mell)ber th~reof; and/gr ll.nY ~ther p~r~on fr61nJu,t\jr,~ ·Pi:l~i~iP~*!oh i~ t!H~ 9r~ny.

2: othyr matt:er ~ffepting.~r)nvo!Vi,ng:R~sporjcle1jt. l~ tl}eyve.htt~arJhfBg.tjr9 does MfHri'Jts 3 cliscretion; appr6y¢ and· ~dopt this·Stipulafo<f:$ettl.eritent·~<.O~i~~jpli114r,S! Ot9er, \vitl(t~~

4. exception oJthis, parAgraph,_it shall ilot be(:OiTIC effeetive;)ilfall be:Qf noevideritiat)i'vaftie:

5 whatsoevet~ ~rid shall not he ·relied upoifor fotroduced hi any disdpliha'ry action ·byeither.:party

6 herefo. Respondeilt:further agreestharshould this Stipulated Settlemer1t a·nd o·isd.plioary-Order'

7 berej.ected for ifnyreasoi'i bytheBoard; Respondentwiti assert no claim thauhe Board, oraJ'I)'.

.8 memberthereof, was prejudiced by its/his/her:review,discussionandior.·consideratfon ofthis

9 Stipuiated Setiiementandt>is.eipifoary.Qrder or of any matter ormatf~rs.related herefo;

IQ .ADDITIONAL PROVISIONS

11. 13'. this Stiplilaied S~ttlementand.Disciplinary Order is intenqe~ by1he p9rtie.she.reJrl

i2 to b.e an .in.tegrated writ in~ repres.enting: the coiTtplet~; fiO,~l Md ~~plu'.s.i\ie ¢111~oclifrterif:qfJ!fe

13 a~reements.of.the, P.aities'in in¢·abqV,e-~nUtJed:matter;·

14 14. The partie~,µi1d~rs~~ud ~nd·agr¢e th(lt Port~ble Docurri'erit Rormat(PDF)-an<l:iacsiinil~

1.s copies. orthis StipuJat~d 'S~ttJe:m~nt arid.Pis¢ipiln-arf Order, irichldih~.PDF\ana" facs!nfiTe-

16 sig11an1res ther¢to, ·shall have the saniefotc'e and effect'as the oflgh1ais;

17 . 15. Ill' consideratkH1-of the for~goiqg admissions0a11d stiptilations; the., parties agr~_e-that

·is the Board• ma~; .. without further noticMo·or. tipportu1iitYtQ{be-hear(l,bY.,R'e~po.ndent,>iss11~,_an9

19. enter ti\e:fdilowin~ Hfsciplinary:Order:

20 DISCIPLINAR\'·olt])ER

21 .J, POBLICREPR.IMANO.

22 IT IS-HEREBY ORDJ::RED.thatRespohdenUos¢phT¢1;er1¢e ])~ty, r_vt.D.;-.Physl¢lan's. and

23 Surgeon's Cei;tificate No. G 2~296, shall .be arid is hereby Pub lid)'. R¢prirnanded plirsuartt to

24 California Bu~inei;!Hlnd.,Professions Code:section·2227; subdivision _(a), subse.ction~(i;i).· This

25 Public ll¢prhnand, which is issued in connection with-Resp.on den es. care and' ireati:n.enb:~f

.26 Patients A,. B,_ ifr1d C, as.set:f'orth iri Accusat'icm No. SOQ;.20 t6;.Qi I f93,:is as·.foilows:

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ST!PlJLATED SETtLEMENT,ANDDISdPLINARY ORDER-(800~20l6"02VICJ3) ·. '. ... ·-';. ·.· .. '.· ......... : :- .·. ',' -.. ' . .. '., .

l R~~pqtjqe_eft f4lJep _.tq obt?i)f~!Med infqrm~~r~tjn~¢nt$,,for,prp'9'ed~rerperform~W9n

2. ~~ti~nt~/~,; B';,Ji_nd'.C,; Re~ponde~~·t1\ile'dt9 refe(PaJietjtJl fqf·a1ftj,:it~i(i~~xMft·

3' opiniotj;:~nd R~sp()nde_ntfai1¢d to maitlta_in adeq9ateatid acctira,te medical rc~qrds;

4 for.Patients a-and c,,as moreJully described iii Accu~atiohNo. 800~2010~021f93i:a

s true.·.ancfcorrectcopy ofWliid~ isattachedheretoas EihibitA:arid incorporated'b~:

6 reference a·s·.itfully set forth herein;

7 2. MEDICALltEcoRD. KEEP.iNGCblJR.sE . .

~ Within 60 caiendardays o'rthe effective date ofthis:Decision~ Respontlen't-sfrall.enroR:fo a

9 course in mediCalrecord keeping approved :fn·advance by the:I;lQard or its deslgn~e; R.espo~d~rit. ,. , .c ' .. - •

. 10 shat I provide.the. approved.·cour:se_ f>rOVJ~er with ;anyJt.i forn1(ltl()ll_' ~nd '~foc.u.111~nt~ jll~hh~:.approy,e_g

11 co.urse. pre>vid~r may cieem 'pertinent~ Respondent ~h~H P~!1icipate_ in af!~· sticc~~st\i_lly cprtipl~te

12 ·the; __ clas_sroom .c9tjlpo~t:il~- p(th~• course Jfo(, l*ef'Jh~tjisix:.JCi):n19i}t~~)ilJ~f~~~Ji9tjd~!}t's)~Jti~l

f3 enroHinen.t, ~espondent shallsutcessfilll~·cqmplefo any otljer:coflipotj'cn(tffth~'.co'qtse:withJri l4 one'( l)year qf;el'lrolhnerit i:11e'riledical re·.cord keepin,g,course:shall be,:at;Re~pohdenfa·;expehse

15. and ·shall_ be in adqi_W~il,to the Qontinuing Medfoal-E.ducation (CME) 'require1nehts(fotrenewai>0(

16. .licen.sure._ ·17 Afuedical record~ke¢ping course· taken a1ler .the:acts thatgav~HisetQ the chan~~s)n the

,l.8 · AccusatiOn, but~prfor to tile-effective date of~the:Decision:may, :i_njfi~~sole:d!S~.reti_qn <>flhe ·(j9p:n]'

_ l 9 :0riits· des1g~ee~ be;acce~teci towards the -ruJflltment of.thi~.~m1d i t,iQn !ifthi;:/<;.Q\!fs~·-w9:µJqJ1ave:

10 been tii?pro:vcd h~ the·_ Boai:d 'or:: its• d~sigoeehad ifre•.cqurse · l?~e!\Jaken ~fter;th¢:t:Jfecfjyf!; ·~i!~e:;9f

2:1 t!lisbecisfon ..

22 Respgndeot sJiall:su_()nlita::c~rtrfica,tipJi _qf.si!ccessful«c~wPI~t~()nJo;tM Board· qr ~Hr

23 ·designe¢ not l~ttfr t~an IS calepd~r days:a~eisu:cce,ssfu,l l,y·coii)pietln$::fh¢ cour5e,:or 11ot Jater·ilta11

'2A 1 p c~len<,Iar d*¥s a_fter Jhe·'¢ff¢¢tive dare: of the Decislon/Wliicnever is:'.!ater .. :+

25 :3, :FAILURE TO COMPLY.

i6 Ariy·failure biRespondentto:comply withthe.fermsand .condiHon.s;o(the Pls9'IP,Jlnary;

.27 Order set forth·ab<>ve shall- constitute unprofessional cq_ndupta_IJ9.grou@s'.fo((~cyh,¢(~i~(?ip!in~rx· ·

28 action;

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RORl·:MAth P. I.OJ.ON D~puly A!Llomey Genernl Artorney.~fnt (,'emplainant

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STIPULA 'fno 81:'.r!'Ll.lM~NT AND J.)l~CIPJ~lNJ\ Ry Oltt>l\R (1100:20 W-021193)

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.·ACCEPTANCE

2: fhav.e.car~fiiJiy reafilie aJ?pv~. :~~ipi.lla~eq Se~tl~me.rito,anq DisCipliri:.fry'O~<Je(~d:.~ave}uJly

3.. discussed itwith' my attorney, Robert W,.frailk;. Esq. ., understand th¢ stip\ilatlon .and ~~eeffect it

4 will have on·my Phys!Ci®'s <lll:d'Surgegn'!l <;::ertifi~~~~~o.G2~196 .. le~t~J'i~te>tl~is._St.iJ?.~.lill¢4

5. S~ttlcmy~t atid Disciplinary; Order voiuntarily;knowhiglWand;ititeliig~iitlY, anda,gree·to be.

6. bound by the PeCision.~nd Orderofthe;l\ileQ,!caJ:Boar:d.gf'qalifQrnia.

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DATED: JOS.BPH TERENQED;\LYi M;D; R'e_sp'9114el1( · ., · · · ·· · ·

11 1 have read; anct fUlltdiscussed with: Respondent Jos~h ;Terenc~ p~i.Y; M,.:t>;. the (~rms:and

Ii :.con<litiOns ·and:other'.ma#~rs <;on~h1ecf in. t~~ .jbpyc, ~,i:ip!)l~ted_~eµl¢.n1e~~~nd. Di_sciplfoa,fy. Order,

1.3 1 apprtive its'form arid content.,

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DA'rED: -------- RO.BE.~.T·W; F.~NK,-E~Q. :.ft'torf!eJ!for:Re.ifioifdent- ·

ENPORSEMENT

·The foregding: Stip,ulated s·ettlemerlt ~d Discipliniify Order is,herebyJespectfully

sµ~mitt~ for<fonsideratlon by tl'ie.Medkat Boar~ o(Califqmia ..

pateci: S/ 3 1 / / 'i?. i<.espectfully ,sµbrrlitte.<l,

SD20l 7S,~7.S5n 146364S;doc

XAVIER' BF.CERRA . . . . . . ·.Attom~y·OeneraI of~alifdrnfa'. ALI::XANDR,AM .. A:LVAJU:,'Z:·

~cryising·.I?.~ttOp!(};i'Q~rieraJ, ~~/

l~ Depucy )\ttorney QencraL . · · Aftorneyf[D.r_Coni];#ainanr

Exbibi~ A

Accusation,N(>. 8~0,~201~:-~2119,3

•,.

.1 XAVlEit:BECERl4\ ·Aitoi:n~y ,Gen:et~t <>.f:.Cqli f orrt.ht

2 Al.Exl\'t-fpitJ\M.::AtV~Ei. S.upeiyisi!:ig·D~p~ty ,.\tior11ey 0.~11er«I,

3 '~QSEJv1ARYf:'·::J~OZON D~puty.:l\tto~{i~y.G~~er:al_

4. State~atNo,,221544 ·, . . . - 9.00::West Br:oadji'Jay~ Sufte.180.0

5, San J;),ieg9, G?. 92191 ·p,Q, Box .85266: · ·

9 :SiµiJ>iego• CA9~Tap:.5266 T~Jepll?f1e:_.:({J'l.9)1~8'-9Q74

·7 :Facs1mde: :~61 ~):645.,2061

If Attorneysfo~<Compiainaril

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BEFORE'THI!: .. · MEDICAL BOAitD:o1~ ct\lI.FoiOOK ... ·DEPARTMENTQF:coNSU)iERAFFAlRS

~TA 'I'E QJj' c~tn'()~Ni.A - .

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In the M~ttc(ofthe Accusl}tion Against: c~e No. soo~2010~02.rl.93

J~sepJ.~ Terence fialy,·}\iJ.ti. , . · .. 9834 :(;en~Q~r4ve1&µe, SuJte315 Lll J'Qijn, CA: ~~Q37

Physil.!iitfi.?ig:p'ri.d Surgoou~~'Ccdificntc·: No~ G 2629'6~ . . .

Re.sponqent: '

l9 Co1npialna:nt:alle$es:

20 .PARTIES

21 1, Kinlberl}"Ki.rohmeyer::(dompfafr1antYbrirt~s'ithis Acci1satfoti:soie1tfo. .her,offic'ial

22 capacity as ihe:Ex~cuti vebircctQf. Qflbe Medicµl J;39arcf: o(:CTuJifornja,J~epai:tffieri(pf';J~c)~hS.9m~f.

23 Aff air:s (Boai:d)~

24 2, '0n or abotiUartuar~ fi~ 1974) theMedical Board·i_simcd:Ph:1sicfa11~$;an~ $'µ~g(;)"o!l'~

25 Certi1foat~ l'f 9. O 2~ZQ.6'te> J,oseph Tere~¢9 P~b\l\lf.p.JF.espoMen,t};; Th¢ PhysiQi~n '.s ~ri~

2.6 Sµtge<>n~s-G¢rtifieate:No~.o 26296.was in ruti three andeffectanill ~imes r¢Jevani·to~thecna~~~s

. 27 .brought herein ahcfwill expire on A~gust 31, 2oi &,, unl~ss ~new~~

:zs !JI

l .AcctiSATIONN0 •. 81)0';2Ql.6;.02ll.~~

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. ;JURISDICTION

z· .3:, this;Aceusati6n is:6:rou:ghtheforethe Board! under the iiuiliotiiy-lif;thef6iiowfng·

3· laws_. -ft..U .s.e9jjqn ~fer~r)<:~:;ire~wJh~;l3µsihe~s,,a.IJC! .J!oof~s.l9ns Cqcfir(Oo.CJ¢). µ11lC$$, .9the_f:\Vi~e

4 : h1dicated .

. 5 4. Seclion222o of the Code states:

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:'1Ex~pt,as ptherwise Pl'9¥ided _by la..v; th~·))oa,rd lltflY:·t~ke'~ct}{)n:-ag~il'.ls.t'll.li

. pers,ons g1,1ilty l>fYJo.l~ting this chapter •• ;" [Ch~pter .5;-tbe Medi.cal Practfoe A¢t;J'

s. $'ection~2227'.bfthe:Code states:

''.<~)·A :lie<:ns~~ whps~ ~ mn.:fi~r. lj1µ1 bee_n li~l\rifby n.!l .~dmhil~ti.~t~yi~Jaw.J4~g~ ·9f

th,¢ J\if~d icat · Q·~-~t ity ~I<;!i,f ihg. Pane His· desig~~tief~'iif S@fon IJ37:f:~f:tlie. .GoverJ'}lri~yt

Cod'e,,or whose'deratilt has·been: •entered~:'andwhoJs. found~i itxr -0~·-wbo'buitentered info· a>sti puiatlon for.:dJs9JpUn~~Y ;~titforrwit~ tl\e; ~t\t~; .mfiy; .. !~ a¢CP:tCJat1ce/:\>fN!Jh¢:,

:provisipns pf .this: chapter:

°'~f)liuve. hi~ or he1• ifo:ense revoked upon ord~r:oHhe.board.

''<7>' H~.ve, bis or l~~r rightti> practfoe sli~P~r~ec;f, f or:~Ajer@~: ~9rt<f~~9¢c9f one Yef\i':'tjpon ordcrofthe board.

•~(3) Uh p:faced.on:.PrQlli:ltipn !111~.·bere,quireq tp,pny {~~ ~~t;S.~fpr9b~ti~ll;.·

. monil()rit\g upor1 p@cfQf th.¢·bc(a,r<h

''(4) Be.ptiblidyreprimandeo by,tii~board. 'the pµbJie~prima,nd:m~y .j11clud~

a reqoir¢01enflhaj;t~e1 lic_ensee comp fo~e reJeyarit edµeation.at ~µf8~~ appro.ve<lJ>Y;tfi.e. poa,rd~

'~E-5) I'l~ve ooy .~theractio11 taken. i !rrelaii~m tQ disdplin,@.~s·pai:t:pf:an 0'1-ier:<?f

prob~tiqn,'t\S:'the, poard or an· adrti iri,islfiltiveJ11w j\i~g~niay-dcern •propeb

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"(b) Any n1att¢r: heard pursuant to subdivision (a),• except for warning letters,.

· rncdicitl review ot advisory oon:ferenyes, pro.fcssion~lcoinf!etenc¥ examinations,

con~inuing ed~cation activities; ·and cc)st i'eimbui'sell,1erit.associat~d. th~rewith t~at are

agreed to with the board and successfully cothpleted by the·ffceiisee~ o:r other matters·

made confidential or ·pri:v fleged by el'.(.istiiig· law, is deemed pubifo, and. shall be made

avail~bl~ to:theppblic•by the bp,ardptirsuant tq $~ti!)rt 80~:.),''

Section 2234 .. of the Code, states:

°'the board .shaH take action against anylicensec'\vho is;chargedwith

µn,professional cond'µct. In add)tio.n to oilier· proy isiO.ns. :e>fthis·.artfoJe, ._unprbf~siopal·

coiiductiricludes0 butisnollimitedto~·the·following:

''(a) Violiitihg or attempting to violate, dirocilyqr indirectly, amd~t.ing-in-or

abetting the vi9lati9'1_pf1,Pr coiispidng to \rlol~te.!lhyprovisioti:of.tlM phapter.

" . ... 'i( c) Repeated negligent acts, To. be repc~.t~. there .must be two or ll'lore,

negligent acts or omiss!t:itis. An initial· hef!ligcnt:actor orriissiOn: .folJowcd ,by ,a

.separate and disdnct·<lcp(lrture:from:-the applicable standard ofcar:e~sh~ll c:onstitutc

. repeated neg!igent~c~.

'"(l} )\n initi4lneglige1it diagnosisfolichveci.by' an acfor-~mlssion:rnedfoally

appropriate tbrthafne~H~~nt ~lia~nosis·ofthepntient ·si1ail ·co_nstitute a'single,'

negliger,it ~cL

"(2) When the 'standard of care requit'es a change .in the diagilosis, act;,or • , ·, £ ~ ~

omission that constitutes tl19 n_ogli~c11t,act. dei;pripcd in paragraph~(r), incb;idi.hg; bu.t,

noi· Hriiited to, ~reevaluation ot' the diagnosis or a change in treahnerit; aiid the

licensee's conduct _depart<i from ·the.~pplicablc si:andf.ll'd .pf c.are, ea-c:h clepar!,.ure · ·

constitu.tes a separate and distinct.breach of the,standard of care ..

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· Accpst\TI01'f N'o .. a.oo.._2q16:-02li,?3

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3 records relatin~ to the provision of services to· their·patients:constitutcs :unprofessfona:['.

4 conduct.'~ '

5: . FIRST CAUSE:FORDISCIPLINE.

6 (Rcpeat~tl.Negligent,Acts):

8. Respondent.has .sµbj ected.'his. P,hysi9ifill,s, .• and, Surgeon Is' d¢rtificate. Nq •. G•26296:fo '_ '. . . '-.. . .. ' -· ... i. ·-· - -

T

1:0 Patler~t B, and Patient C, :~~SJ*tively,,as mQr() parll9illa~ly'.~llege~fh~rc;iQaftet::.!:

ri PatientA.

12 9. On or;ahouriatti.itio/ s;·2of 1, Ifatient A.was seen ~t.Respondent Respondentnotecl'

13. that Patient A haC! ·a t!u:ge:l'etlnal.t~r in the: right eye wi{h l1'~~lpenorJ9mpora,fper:ip~eraJ

1:4 detachment. ··'.Re~:P0.11~eiit,p~rf0,in'let!• !l..P11~1,1matic ~etiriop~xy.:or tne·flgh~ ¢'Y¢ with sulfµr

is 11exaftudride (SF6) ~as. No s.i~ped:fi1i'ormed conscrit Wa$:.06taine~,·forpl~.us~;df:sli(?''.&~s:

16' · 10. tfo. Qtf1~o~t J·apµ~ryJo,;~p:~ h:J"!~tipritA: ,w~ ,sc~n tlY.'J~¢siJ9naent. 'l>~tie,iW~"~ M~O'.d( lq ·was ·al.s<)'prescntdurin~:ttrc visit .Responit'ent:diag,ilosed i>atierttA with: a large. retin~l.tear·vJith':

l $' tractfon:,superotempor111iy •. Res~onden~.l'.QC,()1))11'.lend~a·ijl~f P,atientA ,un~.~rgc,>~;W~()~e,~~,·pµgkJe;

i9 · .e>pe.r~tio11;wl~ichtop~:pJ~eWn:,or.~!;9!:K~a~uat)i'1 S;;!lQlt:~: Th9re>is vot~J~J.rica 1riformedc()nsent:

'20 for this p~ocedilre fu th:e medical rec0rds.

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1:1. 611.~or.ab<>.utifll'.luµry ~4.:2<) t.t, P:ati9,1)t/\ ha~ a,)(<?1tgw·\jp•yisif,w1tn1t~~pgh~.~Q't,

fpUowi~g'the Jano,afyJS/20 n, scl~ml l)uckleC>peratlon~. :ratientA ·com~lai'iiea• ofirdtatlo>tand,

the:pregehcc'Of blood in th¢.teats ,ftom h.is. right eye; the• s~leral:'bllckle;:w~:oote~,

posfoperati~Cly~ however, pei;sis~rit sµbi;aj:itu,tl fhifd w~~,?Js~. n~~~;~o ~;p~~~i\~i :R~sjjQQ:~eiJJ,

addtx.{: ri19r~·~f~ gas iii 't1le' figllteye. and p·ositionihge<was :recomntertd'cd. N6:st,gned.lrifo.rmed

co11sentwas.obti1ined,for the, use. pfSF6'gas.

. 1 Refe,r~nCf's;to 1~l!llti~nJAi'''Ptitfoii.tB~":a11d•"l'l\ti'c,jlf'C" :h~reirt are used t<Y)?.rotcct patient· priva~y. ·

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1 • 12. On or: aboutOJanuary 27,,.2011,,PatfontA was seen again b~Respondent. '.R'e~poridenf. ·

2 ·treated Patient Awhtra ~lpd,eJa$er; Respon~en(n~t¢d:Jtw.t t11e Jai;etwfu! ;:i~d~d tc:>~th<ts"dfeml·

3 bucklcHfod aroundtM.ri~ht::eye:fotinal ~ear. No:sigrie_dJ~fof#ied 9ons~nt~~s;:p~~~hleaJqi(th-~

4 diocfo iaser procedure ..

.6 P.~tie~~•.A.'s v!S,µat.-.acltiti'~wa~49/4Q: ~M~h~_,co~pl!litjed pf bJurr)'=y1~i<:>n;,~qd,fl.o_!i!fug,9t;Je9~s::~.'9t~ 7 right eye;. Resporrcient noted that the flap was elevated .on ·the scienitt>1:1c'Rle;_: and addlt.ional. lattice

.8 -w~ al.so noted .. Patie~tA wai;.~at~d, with a diode laser~ .}fo ~J~n~ -intbrmed· c.on$erlt-~:

·9 obft\incd.foft;}1e:d.ib'oe Ja~C,fpi'pced1,fre;

IO PiiticnfB

ll I 4. On oraboutNovember;?,.2011, Respondel'.lt $ent.a: l~tter t(> tile ~f~rrirl~ < •

12 e>,phthalinologist for Pa~ient·J3i 1'he.le~er statcS.thatPaticn(B.:un4eKY~qt,syrg~cy t() foMita

13 macular tiole:inthe left eye on July 3/2011, however,'the sutgetfactUallytookplace ofr:Julys_,

14 2011.

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16.

1 ~. .Qti orab,C)lit Attgu$t::f2; 2014} PatienrB-uncterv{efit:i'epair of it niac~lar hoi~ in;her

righteye,,whfcfrwas performed by-Respondent. -'J1ierefa;no·.$igned ir1fonne({ CQO$elii:fortb.iir ' _. . '"~;_

)9 ophthalmo log.i~i;, : dne Jetter'tefers to• a repair of :the-rmie1,d~ lj9Je]ir)?n.fient l{"s: rignteY.~··wtiiJe

20 the.othe~ fotter refers t<>.:arept)ir of Hie riu•cu!ffe ho~e in Pliti~;ritB~s)ef't ~YP~· l::lowe:\ieXtnei~et 2-l ·Ictter.sta,testhe date hf the ter,riifiJ; Tri addition~ altholi~h ooth letters concern ·Patienf'B'.~s_iposi;

2'f operative 'stati.ls fQUowfo.st~. Aµgus(22.,;201.4; ~pair of th9··11J~u l11r l}qJeJllPa,tteriQ~~$' figh(ey~

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ili. ele. ttcrs,,coritnlri ,differe{it.an<I· c<:>iitradicrocy, infotrifatibri regarding PaticntB \s_ smtus~ ' .... "''"•·'- .-... ··. -.,, .. , .... : ...... "' -.· .. ···. .... . . . . -.;

17/ on .or'abotit:October A4,,2bl4; •ratie11t B~ µnd~rwenti~u(}til'!~l Ci¢t~Ph.•:n.~n,t~g~i.r,;

whiCfrW11$perforrried by Re.sponden~ ·Therr; is no$ign<#!JJ\fott;j\~ e<>l}sent f<>t this:p~ep~r~'.in· ' . . .

the<J)1ajic11l J:ecofds;

18, On<oraboutbctober:24,':2o 1-4, R~sponderitsent a tC.iter ~,~a.tienJ'B~s~f;efc}r~if!~

28 ~phthalmologist., The. l.~t~:r: refers to·itrepait oft~e' macularhoie ih:IMtient:fi's i'ieti••,:ere',whictt

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1 tookpl'ace in.'~Aµgu!!(o{this year/~hoWeVer~ therepair waso~PatfontB~sd~hte,Y:e; Jnaifditio~~:

:2 Respqni:Jent s.fat¢.s. i~fthe l'etter:that, "[t]h¢,yisiqn·w ht(r ·bette~.right ey~ m~asqres.:2Qtso;and

~· Jikewise,plnhoies to.20i3o~ •.. btiforwiiie her media arc :§t~a~;:aifd ~e_re~i9~W p~~ :'I'h~JJif!:~ula.r .. 4 hole is ~fosei:t,:and'.shcseems to be doing ~liltew~iU' Inco11trastto thcse'.finaing~!_Jie.<i~oridenf

S ~xa,ml_ned~l>tltierit B'_on or ~b,~nh Q~tober 2~:; 2QJ4; ,~q~fog.;whlcp he 'llP~ClJl vision <:)(2Qaot).jn

:~ "th~·-~1.~nfeyean<J 0~1e-pfosence'bf~~tirial._9el!-t¢hfii~rit

7 · 19. In medical records· dated on OJ" about bec¢n1bet 19~- 2014, Respondent made > "

8 - ~atiditi~maJ::not~tion.$1·egii._rfli11g further. ~vaJu#i9~ llt;l~ tr~_atnwrit).m:4e.rt~l,(~n by P~tle~Of-with it

9. . tet_ina1•spbciaUsn1n:~·- glatjcom!l~s1*?ialist;·respectively~':Xh~--a9ditiopiU_ !19tati.on~-~¢;tjo(datea~:: ~. . - ' . ,. ' , . - - .. · .. ,-. . . : '"." ., ... ··. . . -· ·. - . •·· , .. •·· ~. ·: _,.._._

10 :io, Following ilfe. surg~rr to repair tlie·mactilar holetn :.Patienti!l's ti~ht eye~. Wlii'5ktook

11 .pince. on pr ~~utAµgust z2, 2Ql 4; :Patiertt B -~peat~41y· presc=n~cLto;il~~pon4ent ~lfficco1?1pl~ts,

1~ ·of pnin)ind wors9iiil1g v.isi~m Ufjtil-on or ·uoout December s.; 20_14,·~esi)9ildi:iif oid'.nofr~i§¢'~ij~ _

tl option ofreferrin1:f P-atfortt Effor·an .outside expertopinibn.

14, PiltfonfC _

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21, OrLor about OctoherJ 6, 20 f4,-i>aiientC tinden.vent:Vitteetomy:sur~~ry,,wWfofrwas

perforrned·•by Respondent• 't'her~_·1s:n9• &igne.Q in(orrne9.c.Qns~nffor~!s prn~1,1re;fo the,me~I~i_

recoro,s;

· 22. Oh or. aooutJilhtiafy · 15, ;z01 S,. Resporiclent·$ent a 16ttcrJ6 'Patient Q!~

ophthA!molqgist, who:preyio_usly performed,catafact~urgery pn Patient C. QIJ_or ~bq4t,

.Deeernber 8,20 l4 and Januafy 12, 20lS, respectivel.y,,Respondent :examined Patient (_){but··

neither '¢xamihatfori dht~'is referenced in'R.esp()n~e11~1sJanuary l'~. 2't)l5, lctter, irr'theJetter.

:l{esp_omi¢rltr,~J?Ortsthaf r#~i~i1_~:c·s _ c,l!·rrentvist9ji :m~~.1!1'C~:a~ "IB~; 20/6Q 'l~i::_l iJ1 lh~·ri gftf eye.'' !)rid "20/20~'-iri theiteft, eye. Howeverjtlpofi examinaiiori'.httor ahciiit Jonuaryl2,'. 26.Br

· Respc;nd~nt meas\fred' PiitleQtC's l~i\:<;ye'fo- b~,•!zp/Zs~-t~/' ngt.c'~Qno;;;' fo t\ddid9tM~ltho1,1¥li:: E¢sp6nq,erithtlotte(i~(erenc-es~'j>o~sibl~·t~gi.;<?¥-'t,!1of~he,epiretirial'mem'branei'.'such':findin~:,was-·

not doctifuehted cluring the January i 2; 2cfi5~ e~aminaiion,.'btrt rather W'S$ .c:l9~umQnte,d w~eks::

earlier <turingJli~ Qee<ember~8, '2014, .~xim;iinatiot1.

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l 23'. Respondentqommltted repeated negligent acts· in his·cate'and;ta¥l~etjt)Jffij~i~J1t$1 2 , PatientB, a!t4 Pat.iep(C, which included,. but·~e~ not lii:ni~d to the foliowing:;

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(a) R'esJ>onde11tt}iifociJbobtain signed info~~ed c9nseµtsforprop~duO}s,jleeform~ .

on: P~tientA.,, Patien(·llt:and Patient d? as more:patti6uiarty..-alleg~d l~ J?!U'agrapps ~:'furP-1Ji11

~2~ ab,ov,e;

•Q>J ,Respo:r)~~ttt·fail~dJ~·:~feO:?*i~ht.Jffora.11,.oW~i~c··~)l,m~rt,o~inio1:i:;::an<l

·7. :(¢)· Respoi1dentf~ited to.adequatel~(do~Wnetit:iriforri?;~tip!J '.¢0fig~~nlilg;,:·1~(~r' qliii•. ~· '. . ..I "

.·8 .PatientJ~'s .. ·anq/Pa,ii~nt;(?_s·medi.Q£ifs.tatus and:cond'ifion~"treatmen~;history~,andexamlnatlori ,

9 :dafo$;.@··mol'~· p~ic4h1r,lf ~!1.cg@:l'~ i>!lfA8mPhli:·14.thrqugh:72.1:·afolv~•·

lQ 'SECONI»CA:USE'FOR'DISCIPLINE'.

1 l CFililUr~'tcrM~intjliµ;Ad~quafo itJ1cl:Accura'f~.Rccords) ··

lt ·24; •Re~p0h(J~1w~a.e;·sµbj~te~'}iis'Physi~ian'~.afld .8-ilfg~r:i.'.s:Q~1~m~l,\~)~·l'q.;0~{)2?6'to

13· ·• dJscipfinary action undet sections 2227and :2ij'.41 as .d¢flned:by~·cction.2266;:'ofthe Code,: iii that •• • t. • . :< • . -· . ~ ·~

. . . ls ·aiid PatientC, ·a.s·m:ore"Jfaitifaihirl)'. alle&~d. in J)a~gijlphs 14\ili,rQiig!f;2~. ~~ye,:Y{,hJch ~~:h~e.J5y·

16 , incorporated by ~ference cmd.re.;alle,ged.as lffuHy setforth ,herein •.

PRAYER

'WIIBREFORE; Complainant requests ·that'ah&irln~ be helCl'M~.thQ rn~~~fs Ji~teii'i::aJ!C'g~, ' ·" ,.. , . ...· ...... ·.

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19 and•·thaffo Uowing th~ he!lfing, ·u1e)vled1oof'.Boar(l;o{Ct:tlitbrrii~J$~Ue·. a~de4i~fon:

20 1.. !l~v9\ci.~g~·(Jrs~1~pe"-9J~g Phy,sicfar:t?s'.a.rid ~.i:irsco~'s:G~ftlfigl\te.N<>! 0·7~2?<>: .. ii>.sµaj

·21 to.ResporidenUoseph'.J'erenceDaly, M.D::. 22 '2, Reve>ldng, sµ~pe11ding or:dcnyi11g approval'.QfR~sponqcrjnps~p!)TerQnce;P(i>:';

·2~ · M.D/s.at.t~horityfo iniperyiS;e pfiysiciari ~ss.istants and' iU,lyanced practice· ni.tr8~s.'.p1.lrsuanf't<i

24 .section 3527 of.the Code;

25• ·3. 'QhleriniResponqeqt}9~.cp~ ',T¢ren~~Paly;J14Ji.i Jf;}>Iap~~to~ ptjlbi.i,t,i9n~ .tQ;mlY the.

·~o ·:Board,thccc>'sts.ofprobatfonmonitorihg; an'd

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1 4. Takihg·such.oiher. and f qrtfter action as:dee~cq.ne1,1essary ancfprc;>~er ..

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3 PA JED: December- 19; 2017

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ACCUSATION NO. 800~2016-021193.